MDBGpraestimate_COB_2-2010

MDBGpraestimate_COB_2-2010.xls

Coordination of Benefits between Part D Plans and Other Prescription Coverage Providers

MDBGpraestimate_COB_2-2010

OMB: 0938-0978

Document [xlsx]
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Overview

Estimates Table
2010 Contracts&Pharmacies
Beneficiary Information
ATBT separate calc.


Sheet 1: Estimates Table

Subpart Original # Respondents Approved 2006 Estimate - Burden Hours # Respondents (CY 2010 - 196 sponsors, 39 states, 56,000 pharmacies) # of Responses Time per response (in hours) 2010 Revised Estimate - Burden hours Exempt/Separate PRA
J—Coordination of Part D Plans with Other Prescription Drug Coverage






423.464 Coordination of Benefits






Part D sponsors






Revise payer systems to receive N transactions from Troop Facilitator 370 22,200 10 1 60.0000 600
Processing claims through TrOOP facilitator (Receiving Ns) 370 592,000 196 191,377 0.000139 5,210
Entering OHI into PDP sponsor systems 370 246,790 196 1 0.0166 3
Submission of Lump Sum 370 22,200 196 1 60.0000 11,760
Programming for Automatic Troop Balance Transfer (ATBT) (New CY 2009)

196 1 40.0000 7,840
ATBT exchanges and updates transactions (New CY 2009)

196 55,855 0.0001 1,520
ATBT additional programming.

196 1 17.8500 3,499
Pharmacies






Eligibility Queries 55,413 132,753 56,000 779 0.0166 724,158
States/Secondary Payers






Submission of VDSAs 636 318 n/a n/a n/a
Already collected for MSP purposes - Separate PRA 0938-0214
Submission of Enrollment Files 636 382 n/a n/a n/a
Already collected for MSP purposes - Separate PRA 0938-0214
State Attestations 21 11 39 1 2.0000 78
Lump Sum Negotiations 21 1,260 2 1 60.0000 120

58,207 1,017,914 57,227 248,018 240 754,788



















# respondents

57227



Ave time per response

0.328592727654294



Ave # responses per respondent

4



Annual # responses

248018



Annual hour burden

754,788

Sheet 2: 2010 Contracts&Pharmacies

Below are the results for 2010 Part D as of today.


# of Parent Organizations** 196
# of PDP Contract IDs 76
# of MAPD Contract IDs* 584





39,000 chain + 17000 independent

Sheet 3: Beneficiary Information





Total # Responses # Respondents Responses per respondent
Total N transactions for all sponsors (9/2007 - 10/2008) 


37,510,000 196 191377.551020408
Total  estimated ATBT transactions


35,675,000 28 1274107.14285714
Total Eligibility Queries


43,550,000 55855 779.697430847731





















Source:  TrOOP Facilitation Contractor/Deborah Larwood


























% enrollees w/ other health insurance OHI 23%




# enrollees w/OHI 0





Sheet 4: ATBT separate calc.

Subpart Original # Respondents # responses Time per response 2006 Estimate - Burden Hours # Respondents (CY 2010 - 196 sponsors, 39 states) # of Responses Time per response (in hours) 2010 Revised Estimate - Burden hours Exempt/Separate PRA
Programming for Automatic Troop Balance Transfer (ATBT) (New CY 2009) n/a

0 196 1 40 7840
ATBT exchanges and updates transactions (New CY 2009) n/a

0 196 55855 0.000138889 1520.49843862





392 55856 40.000138889 9360.49843862
File Typeapplication/vnd.ms-excel
AuthorCMS
Last Modified Byqe30
File Modified2010-04-29
File Created2008-01-10

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